Elevated Lifestyle LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ELEVATED LIFESTYLE LLC

Practice address

388 Berlin Rd
Marlborough, MA 01752

Phone

(508) 904-2782

NPI assigned

Jun 26, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Miss Winnie Nabawesi, MD

Title

Owner

Phone

(508) 904-2782

Specialties & licenses 1

Addresses

Tax ID family

Elevated Lifestyle LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Elevated Lifestyle LLC

  • Durable Medical Equipment & Medical Supplies
  • Marlborough, MA
  • NPI 1184370660
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687737600000",
    "number": "1386320265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 BERLIN RD",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "01752",
            "telephone_number": "508-904-2782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 BERLIN RD",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "01752",
            "telephone_number": "508-904-2782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATED LIFESTYLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-25",
        "status": "A",
        "authorized_official_last_name": "NABAWESI",
        "authorized_official_first_name": "WINNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-904-2782",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Elizabeth Ehrreich
• Habiba El Moutaouakkil I
• Suliman El-Amin, M.D.
• Jessica El
• Elevated Lifestyle LLC
• Samantha Elfadil
• Karla Elguera
• Wanda Elie
• Zaynah Claris Elliott
• Nicole C Ellis

• Home Health Agency in Marlborough, MA
• Providers in Marlborough, MA by specialty
• Home Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.